| NPI | 1386702900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 4458-24) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2024-03-13 |